Introduction Description: Sexual dysfunction/anorgasmia is the lack of interest in sexual expression or sexual contact or the inability to achieve orgasm. Most studies indicate that only 30%–40% of women are able to experience orgasm during intercourse, and up to 15%…
Introduction Description: Rape and sexual assault encompass manual, oral, and genital contact by one person without the consent of the other in a way that would be considered sexual in a consensual situation. It does not require penetration, ejaculation, force,…
Introduction Description: Pyelonephritis is an infection of the kidney or upper urinary tract. Prevalence: More than 200,000 cases per year in the United States. Acute pyelonephritis during pregnancy: 0.5%–2%. Predominant Age: Any. Genetics: No genetic predisposition known. Etiology and Pathogenesis…
Introduction Description: Pruritus ani is the acute or chronic itching (generally intense) of the anal and perianal skin. Patients also may have complaints of vulvar itching or of a vaginal infection that has not responded to therapy. Prevalence: Common; 1%–5%…
Introduction Description: Premenstrual syndrome (PMS) and the more severe variant of premenstrual dysphoric disorder (PMDD) involve physical and emotional symptoms that are characterized by their relationship to menses. Symptoms are confined to a period of not more than 5 days…
Introduction Description: Postcoital bleeding is vaginal bleeding that occurs following sexual intercourse. Prevalence: Common (5%–10% women per year, up to 13% of women 20–34 years old). Predominant Age: Reproductive age and beyond. Genetics: No genetic pattern. Etiology and Pathogenesis Causes:…
The Challenge The challenge is to identify patients who may benefit from pessary therapy and to effectively select, fit, and monitor pessary use. Scope of the Problem: As the population ages, the prevalence of pelvic relaxation disorders will increase. Pessary…
The Challenge Description: A palpable or otherwise discernible mass or swelling in the abdomen or pelvis. Scope of the Problem: The finding of a mass can be disconcerting to both the patient and the provider. For women from adolescence to…
Introduction Description: Osteoporosis is characterized by the loss of bone mass (calcium) and microarchitectural disruptions that puts the patient at risk for fracture with minimal trauma or during activities of daily living. This process disproportionately affects older women, resulting in…
Introduction Description: Obesity is a state of increased fat and lean body mass (>20% higher than ideal weight; body mass index [BMI] ≥30 kg/m 2 ) that is associated with increased health risks. Obesity affects more women than men and…